The Future of Social Determinants of Health: Looking Upstream to Structural Drivers

Tyson H. Brown · Patricia Homan

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Public Health and Social Inequalities Public Health Policies and Education Health disparities and outcomes

Abstract

Policy Points Policies that redress oppressive social, economic, and political conditions are essential for improving population health and achieving health equity. Efforts to remedy structural oppression and its deleterious effects should account for its multilevel, multifaceted, interconnected, systemic, and intersectional nature. The U.S. Department of Health and Human Services should facilitate the creation and maintenance of a national publicly available, user-friendly data infrastructure on contextual measures of structural oppression. Publicly funded research on social determinants of health should be mandated to (a) analyze health inequities in relation to relevant data on structural conditions and (b) deposit the data in the publicly available data repository.

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References

1991Mapping the Margins: Intersectionality, Identity Politics, and Violence against Women of Color 2005The Complexity of Intersectionality 2017Structural racism and health inequities in the USA: evidence and interventions 2014The Social Determinants of Health: It's Time to Consider the Causes of the Causes 1989The Sociological Study of Stress 2010Neighborhoods and health 1997Rethinking Racism: Toward a Structural Interpretation 2000Levels of racism: a theoretic framework and a gardener's tale

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